CPT 23615 · Trauma / Fracture · Anthem BCBS
ORIF Proximal Humerus Fracture (Surgical Neck) at Anthem BCBS.
How Anthem BCBS approaches CPT 23615 (ORIF Proximal Humerus Fracture (Surgical Neck)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Anthem BCBS policy of record for CPT 23615. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Anthem Medical Policy
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